JACOB BROCKMANN

GLENDALE, AZ
NPI1861121212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: AZ  9130)
Enumeration Date2022-06-09
Last Update Date2022-06-09
Business Address
JACOB BROCKMANN PA-C
18700 N 64TH DR STE 205
GLENDALE, AZ 85308-7112
Phone number: 602-277-6211
Mailing Address
JACOB BROCKMANN PA-C
1423 N POMEROY
MESA, AZ 85201-2714
Phone number: 707-978-9002